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640286.pdfF Building Permit 777 NAME (OR NAME OF BU MA WING AlYDRE13B LAI) .... ... ... ------ ----- . . . . . . - - - - - - - - - - - PLAN FILM NUMBER BUILD IG Applicant Fill 211nes PERMIT 640286-', 31de Heavy NUMBER JOB ADDRESS ;2 IDE YATUD SET BACK REAR YARD HONE NUMBER Usq'ZONE MAP NUMBER VACANT SITE (an b No 0 YES NO BUILDING AREA LOT AREA VA:RIA:NCE6 NFUMBE A 11r ... LDINQ SETBACKS N HEIGHT ALL B NOTE: TO EAVE LINES NAME �ADDRESS Encroachment Permit PERMIT NUMBER Required I rl YES Q NO CITY TELEPHONE NUMB TER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER LOT TRACT TYPE CONNECTION VERIFIED By PERC. TEST ERMaT NUMBER FIRE ZONE TrP'EOF CONSTRUCTION STR T IMPROVED I [] YES NO SPECIA-L INSPECTOR REQUIRED OCCUPANCY GROUP 0 YES [] NO PLAN CHECKED BY "1-7 WORK TO BE DONE NO. OF OLOGS. PERIBLOG.. TOTAL FK9 1 BUILDING VALUATION 0 2 BUILDING PER3UT FEE ElNEW DEMOLISH NU BER OF STORIE PLUMBING 3 PERMIT FEE ADD HEAT & GAS LINE ALTER RESIDEN' rIAL NUMBER OF 4 PERMIT FEE DEMOLITION DWELLaNG UNITS REPAIR !$Qy-RESI 5 PERMIT FEE —FR_OFqSNDUBE 6 AMOUNT DUE I hereby acknowledge that I have read this application; that the In- ATTENTION APPLICATION APPROVAL formation given In correct; and that r am the owner, or the duly author. Ized agent of the owner. I agree to comply with city and state laws regu- THIS PERMIT This application Is not a permit until lating construction; and In doing the work authorized thereby, no person AUTHORIZES signed by the Director of Building Inspec. will be employed In violation of the Labor Code of the State of Washington ONLY THE relating to Workmen's Compensation Insurance. WORIC NOTED tion, or his deputy; and fees are paid, and receipt Is acknowledged in space provided. NOTE: PERMIT LIMIT ONE YEAR INSPECTION SIGNATURE (OWNER OR AGENT) DA D17TOR ONATURE 1 DEPARTMENT ee /,15� 44��_ CITY OF DATE EDIVIONDS LOT PLAN,,!AIET &.AP)ROVED pit 0-1107 Z FILE w APPUOATION CITY OF EDMONDS BUILDING PERMIT Building Department Appl. No. Z .... ............. Permit limit, one year PUCATION is hereby made for a permit to construct the following work, in accordance with the accom, plans and specifications. Two sets are submitted herewith for approval. Off,st. alter dn repair ................ ........................................................................................... Parking ......... . ........... ........ ......... ne ......... e Fire zone,. ),ccuriancy ........................ ,Sonst. type .......... .... Use zo ........ ................. Lot ...... Addn . .............. ress ...... .. ....... 17 ..... Blk .................. .... ........ Area ........................................... Septic Idg. set -backs front .......... ...... r. side ............. 1. side .............................. rear ...... ................ ��e_Z ....... Addressf" Tel. No_Y�Z�._ _.e,�. ....... . .. ........ Address................................................... Tel. No ............................. �uilder .............................................. . ................... Plansby ................................................................. Address .................................................... Tel. No ............................. Remarks ......................................................................................... ..................................................................................... The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. ,Signed Owner/ Date.. ...... .............. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap- proved plans and specifications, and Building Department notations thereon. Valuation ......... .... 01 ...... Z: - ............ Permit fee ..... ............ Recd. by... '01-, ).,5i( 6! Building Department, By .................................... It.? ) . . ................ Date ... / .... Gen ........................ Fdn, OK INSPECTION RECORD Frame, OK Final, OK ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations. '. 2 APPLICATION(- BUILDING PERMIT Appl. No . ..... CITY OF EDMONDS Building Department Permit limit, one year APPUCATION is hereby made for a permit to construct the following work, in accordance with the accom- ZU 'N �'�'�panymg plans and specifications. Two sets are submitted herewith for approval. new alter Off'st. .4odn repair ....................... ............. Parking ..... . ............. ............. Z ........... Const. type ............ .......... Use zone ...... rZ it ....... Fire zon ..... ............... . ..... ................. Lot ........... .... Blk ........................ Addn ..... ..... ...... ............... tage....................................... Area ........................................... Septic tank... ........ . ............................... e';0' r. side. ............ ......... 1. side ............................. rear ......................... ............................................ Address ..... ............................................................... Address .................................................... Tel. No ............................. ..... . ......................................................... Address ................................................... Tel. No ............................. Remarks ......................................................................................................................................................... ........................ nd ree The above is a corr stale tnt ag to comply all applicable Codes and State laws regulating this work. Signed Owner/Ag . ... Address ............................................ Date. ........ . .. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap, proved plans and specifications, and Building Department not t* ereon. Iv. ............. Permit fee ...... 3.5 ............... Recd. by ..... Valuation .......... ...... ..zg4 .......... tut. Building Department, By ........ ............... ................... Date.... ... J)..Z t..15.7 ......................... Fdn, OK INSPECTION RECORD Frame, OK Final, OK ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations.